<status value="active" /> <publisher value="Medizininformatik Initiative" /> <contact> <telecom> <system value="url" /> <value value="https://www.medizininformatik-initiative.de" /> </telecom> </contact> <description value="Klinisches Dokument mit zugehörigen Metadaten" /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="DocumentReference" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DocumentReference" /> <derivation value="constraint" /> <differential> <element id="DocumentReference.meta"> <path value="DocumentReference.meta" /> <mustSupport value="true" /> </element> <element id="DocumentReference.meta.profile"> <path value="DocumentReference.meta.profile" /> <mustSupport value="true" /> </element> <element id="DocumentReference.extension:nlp-processing-status"> <path value="DocumentReference.extension" /> <sliceName value="nlp-processing-status" /> <short value="NLP Processing Status" /> <definition value="Status der NLP-Verarbeitung des referenzierten Dokuments" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-dokument/StructureDefinition/mii-ex-dokument-nlp-processing-status" /> </type> <mustSupport value="true" /> </element> <element id="DocumentReference.masterIdentifier"> <path value="DocumentReference.masterIdentifier" /> <short value="Versionsspezifische OID des Dokuments"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Specific Identifier for this version of the document" /> </extension> </extension> </short> <definition value="Versionsspezifische OID des Dokuments. Die Angabe ist dringend empfohlen [SHALL]."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Specific Identifier for this version of the document [SHALL]." /> </extension> </extension> </definition> <mustSupport value="true" /> </element> <element id="DocumentReference.identifier"> <path value="DocumentReference.identifier" /> <short value="Weitere Dokumente assoziierte Identifikatoren"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Further document associated Identifiers" /> </extension> </extension> </short> <definition value="Weitere Dokumente assoziierte Identifikatoren. Die Angabe ist optional [MAY]."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Further document associated Identifiers [MAY]." /> </extension> </extension> </definition> <comment value="Z.B. Hausinterne Dokumenten-ID"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="E.g. internal document ID" /> </extension> </extension> </comment> <mustSupport value="true" /> </element> <element id="DocumentReference.status"> <path value="DocumentReference.status" /> <short value="Zustand des Dokumentenmetadatensatzes"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Status about the condition of the document reference" /> </extension> </extension> </short> <definition value="Zustand des Dokumentenmetadatensatzes. Die Angabe ist dringend empfohlen [SHALL]."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Status about the condition of the document reference [SHALL]." /> </extension> </extension> </definition> <comment value="Typisch: `current`"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Typically: `current`" /> </extension> </extension> </comment> <mustSupport value="true" /> </element> <element id="DocumentReference.docStatus"> <path value="DocumentReference.docStatus" /> <short value="Bearbeitungsstatus des Dokumentes"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Status about the referenced document itself" /> </extension> </extension> </short> <definition value="Bearbeitungsstatus des Dokumentes. Die Angabe ist dringend empfohlen [SHALL]."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Status about the referenced document itself [SHALL]." /> </extension> </extension> </definition> <comment value="Typisch: `final`"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Typically: `final`" /> </extension> </extension> </comment> <mustSupport value="true" /> </element> <element id="DocumentReference.type"> <path value="DocumentReference.type" /> <short value="Charakterisierung der Dokumentart im Detail"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Precise description of the document type" /> </extension> </extension> </short> <definition value="Charakterisierung der Dokumentart im Detail. Die Angabe ist dringend empfohlen [SHALL]."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Precise description of the document type [SHALL]." /> </extension> </extension> </definition> <comment value="Empfohlen: KDL und aus KDL abgeleiteter XDS-Type-Code"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Recommended: KDL and from KDL derived XDS-Type-Code" /> </extension> </extension> </comment> <constraint> <key value="mii-iv-dokument-dokument-type" /> <severity value="warning" /> <human value="Empfehlung: Mindestens eine Kodierungen aus KDL oder XDS SOLLTE in `type` vorhanden sein" /> <expression value="coding.where(system = 'http://dvmd.de/fhir/CodeSystem/kdl').exists() or coding.where(system = 'http://ihe-d.de/CodeSystems/IHEXDStypeCode').exists()" /> <source value="https://www.medizininformatik-initiative.de/fhir/ext/modul-dokument/StructureDefinition/mii-pr-dokument-dokument" /> </constraint> <mustSupport value="true" /> </element> <element id="DocumentReference.type.coding"> <path value="DocumentReference.type.coding" /> <slicing> <discriminator> <type value="value" /> <path value="system" /> </discriminator> <description value="Slice für Art des verwiesenen Dokument" /> <ordered value="false" /> <rules value="open" /> </slicing> <min value="1" /> </element> <element id="DocumentReference.type.coding.system"> <path value="DocumentReference.type.coding.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="DocumentReference.type.coding.code"> <path value="DocumentReference.type.coding.code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="DocumentReference.type.coding:KDL"> <path value="DocumentReference.type.coding" /> <sliceName value="KDL" /> <min value="0" /> <max value="1" /> <mustSupport value="true" /> <binding> <strength value="required" /> <valueSet value="http://dvmd.de/fhir/ValueSet/kdl" /> </binding> </element> <element id="DocumentReference.type.coding:KDL.system"> <path value="DocumentReference.type.coding.system" /> <fixedUri value="http://dvmd.de/fhir/CodeSystem/kdl" /> </element> <element id="DocumentReference.type.coding:LNC"> <path value="DocumentReference.type.coding" /> <sliceName value="LNC" /> <min value="0" /> <max value="1" /> <mustSupport value="true" /> <binding> <strength value="required" /> <valueSet value="http://hl7.org/fhir/ValueSet/c80-doc-typecodes" /> </binding> </element> <element id="DocumentReference.type.coding:LNC.system"> <path value="DocumentReference.type.coding.system" /> <fixedUri value="http://loinc.org" /> </element> <element id="DocumentReference.type.coding:SCT"> <path value="DocumentReference.type.coding" /> <sliceName value="SCT" /> <min value="0" /> <max value="1" /> <mustSupport value="true" /> <binding> <strength value="required" /> <valueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-dokument/ValueSet/mii-vs-dokument-sct-dokument-typ" /> </binding> </element> <element id="DocumentReference.type.coding:SCT.system"> <path value="DocumentReference.type.coding.system" /> <fixedUri value="http://snomed.info/sct" /> </element> <element id="DocumentReference.type.coding:XDS"> <path value="DocumentReference.type.coding" /> <sliceName value="XDS" /> <min value="0" /> <max value="1" /> <mustSupport value="true" /> <binding> <strength value="required" /> <valueSet value="http://ihe-d.de/ValueSets/IHEXDStypeCode" /> </binding> </element> <element id="DocumentReference.type.coding:XDS.system"> <path value="DocumentReference.type.coding.system" /> <fixedUri value="http://ihe-d.de/CodeSystems/IHEXDStypeCode" /> </element> <element id="DocumentReference.category"> <path value="DocumentReference.category" /> <short value="Charakterisierung der Dokumentenart in Übersicht"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="General description of the document type" /> </extension> </extension> </short> <definition value="Charakterisierung der Dokumentenart in Übersicht. Die Angabe ist dringend empfohlen [SHALL]."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="General description of the document type [SHALL]." /> </extension> </extension> </definition> <comment value="Empfohlen: Aus KDL abgeleiteter XDS-Category-Code"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Recommended: From KDL derived XDS-Category-Code" /> </extension> </extension> </comment> <constraint> <key value="mii-iv-dokument-dokument-category" /> <severity value="warning" /> <human value="Empfehlung: Eine Kodierungen aus XDS SOLLTE in `category` vorhanden sein" /> <expression value="coding.where(system = 'http://ihe-d.de/CodeSystems/IHEXDSclassCode').exists()" /> <source value="https://www.medizininformatik-initiative.de/fhir/ext/modul-dokument/StructureDefinition/mii-pr-dokument-dokument" /> </constraint> <mustSupport value="true" /> </element> <element id="DocumentReference.category.coding"> <path value="DocumentReference.category.coding" /> <slicing> <discriminator> <type value="value" /> <path value="system" /> </discriminator> <description value="Slice für Kategorie des verwiesenen Dokuments" /> <ordered value="false" /> <rules value="open" /> </slicing> <min value="1" /> </element> <element id="DocumentReference.category.coding.system"> <path value="DocumentReference.category.coding.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="DocumentReference.category.coding.code"> <path value="DocumentReference.category.coding.code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="DocumentReference.category.coding:LNC"> <path value="DocumentReference.category.coding" /> <sliceName value="LNC" /> <min value="0" /> <max value="1" /> <mustSupport value="true" /> <binding> <strength value="required" /> <valueSet value="http://hl7.org/fhir/ValueSet/document-classcodes" /> </binding> </element> <element id="DocumentReference.category.coding:LNC.system"> <path value="DocumentReference.category.coding.system" /> <fixedUri value="http://loinc.org" /> </element> <element id="DocumentReference.category.coding:SCT"> <path value="DocumentReference.category.coding" /> <sliceName value="SCT" /> <min value="0" /> <max value="1" /> <mustSupport value="true" /> <binding> <strength value="required" /> <valueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-dokument/ValueSet/mii-vs-dokument-sct-dokument-kategorie" /> </binding> </element> <element id="DocumentReference.category.coding:SCT.system"> <path value="DocumentReference.category.coding.system" /> <fixedUri value="http://snomed.info/sct" /> </element> <element id="DocumentReference.category.coding:XDS"> <path value="DocumentReference.category.coding" /> <sliceName value="XDS" /> <min value="0" /> <max value="1" /> <mustSupport value="true" /> <binding> <strength value="required" /> <valueSet value="http://ihe-d.de/ValueSets/IHEXDSclassCode" /> </binding> </element> <element id="DocumentReference.category.coding:XDS.system"> <path value="DocumentReference.category.coding.system" /> <fixedUri value="http://ihe-d.de/CodeSystems/IHEXDSclassCode" /> </element> <element id="DocumentReference.subject"> <path value="DocumentReference.subject" /> <short value="Referenz auf den Patient des Dokumentes"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Patient reference to the document" /> </extension> </extension> </short> <definition value="Referenz auf den Patient des Dokumentes. Die Angabe ist verpflichtend [MUST]."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Patient reference to the document [MUST]." /> </extension> </extension> </definition> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" /> <targetProfile value="https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Patient" /> <targetProfile value="https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/PatientPseudonymisiert" /> </type> <mustSupport value="true" /> </element> <element id="DocumentReference.relatesTo"> <path value="DocumentReference.relatesTo" /> <short value="Beziehung des Dokuments"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Document relationships" /> </extension> </extension> </short> <definition value="Beziehungen des verwiesenen Dokuments zu anderen Dokumenten."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Document relationships" /> </extension> </extension> </definition> <mustSupport value="true" /> </element> <element id="DocumentReference.relatesTo.code"> <path value="DocumentReference.relatesTo.code" /> <short value="Beziehung zu anderem Dokument"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Relationship to other document" /> </extension> </extension> </short> <definition value="Beziehung zu anderem Dokument. Die Angabe ist optional [MAY]."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Relationship to other document [MAY]." /> </extension> </extension> </definition> <comment value="Typisch: `appends`, z.B. ergänzende Annotation, oder `transforms`, z.B. Formatwandlung. CAVE: `transforms` meint Dokument wurde transformiert"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Typically: `appends`, e.g. additional annotation, or `transforms`, e.g. format conversion. CAVE: `transforms` means the document was transformed" /> </extension> </extension> </comment> <mustSupport value="true" /> </element> <element id="DocumentReference.relatesTo.target"> <path value="DocumentReference.relatesTo.target" /> <short value="Referenz auf DocumentReference"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Target of document relations" /> </extension> </extension> </short> <definition value="Referenz auf DocumentReference. Die Angabe ist verpflichtend [MUST], wenn Beziehungstyp angegeben."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Target of document relations [MUST], when relationship type is present." /> </extension> </extension> </definition> <mustSupport value="true" /> </element> <element id="DocumentReference.description"> <path value="DocumentReference.description" /> <short value="Beschreibung des Inhalts des Dokumentes"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Description of the documents content" /> </extension> </extension> </short> <definition value="Beschreibung des Inhalts des Dokumentes. Die Angabe ist optional [MAY]."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Description of the documents content [MAY]." /> </extension> </extension> </definition> <mustSupport value="true" /> </element> <element id="DocumentReference.securityLabel"> <path value="DocumentReference.securityLabel" /> <short value="Status über den Sicherheitsbedarf des Dokuments"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Security level of the document" /> </extension> </extension> </short> <definition value="Status über den Sicherheitsbedarf des Dokuments. Die Angabe wird dringend empfohlen [SHALL]."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Security level of the document [SHALL]." /> </extension> </extension> </definition> <comment value="Siehe IG Terminologien"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="See IG Terminology" /> </extension> </extension> </comment> <mustSupport value="true" /> </element> <element id="DocumentReference.content"> <path value="DocumentReference.content" /> <slicing> <discriminator> <type value="exists" /> <path value="attachment.url" /> </discriminator> <description value="Slice für ein Dokument, dessen Lokalisation verlinkt ist" /> <ordered value="false" /> <rules value="open" /> </slicing> <short value="Inhalt des Dokuments"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Document content" /> </extension> </extension> </short> <definition value="Dokument, als Base64-kodierte Daten, oder Verweis, als URL, mit relevanten Metadaten zum Anhang."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Embedded Base64 encoded document content or URL reference to document." /> </extension> </extension> </definition> <mustSupport value="true" /> </element> <element id="DocumentReference.content.attachment"> <path value="DocumentReference.content.attachment" /> <short value="Zugang zum Dokument"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Access to the document" /> </extension> </extension> </short> <definition value="Zugang zum Dokument."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Access to the document" /> </extension> </extension> </definition> <mustSupport value="true" /> </element> <element id="DocumentReference.content.attachment.contentType"> <path value="DocumentReference.content.attachment.contentType" /> <short value="MIME-Typ des Dokumenteninhalts"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="MIME type of the document content" /> </extension> </extension> </short> <definition value="MIME-Typ des Dokumenteninhalts. Die Angabe ist dringend empfohlen [SHALL]."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="MIME type of the document content [SHALL]." /> </extension> </extension> </definition> <comment value="Typisch: `text/plain`"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Typically: `text/plain`" /> </extension> </extension> </comment> <mustSupport value="true" /> </element> <element id="DocumentReference.content.attachment.language"> <path value="DocumentReference.content.attachment.language" /> <short value="Verwendete Sprache in dem Dokument"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Used language in the document" /> </extension> </extension> </short> <definition value="Verwendete Sprache in dem Dokument. Die Angabe ist dringend empfohlen [SHALL]."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Used language in the document [SHALL]." /> </extension> </extension> </definition> <comment value="Empfohlen: 5-stellige Angabe. Typisch: `de-DE`"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Recommended: 5-digit entry Typically: `de-DE`" /> </extension> </extension> </comment> <mustSupport value="true" /> </element> <element id="DocumentReference.content.attachment.data"> <path value="DocumentReference.content.attachment.data" /> <short value="Dokument als Binärdaten"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Document as binary data [Base64]" /> </extension> </extension> </short> <definition value="Dokument als Binärdaten [Base64]. Die Angabe ist verpflichtend [MUST] für Textausleitungen extern und falls URL nicht angegeben wurde; ansonsten optional [MAY]."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Document as binary data [Base64] [MUST] for external transfer and when URL not present; otherwise optional [MAY]." /> </extension> </extension> </definition> <comment value="Typisch: Nutzung bei Datentransfer"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Typically: Use for data transfer" /> </extension> </extension> </comment> </element> <element id="DocumentReference.content.attachment.url"> <path value="DocumentReference.content.attachment.url" /> <short value="Verweis auf den lokalen Ablageort des Dokumentes"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Link to the local location where the document is kept" /> </extension> </extension> </short> <definition value="Verweis auf den lokalen Ablageort des Dokumentes. Die Angabe ist verpflichtend [MUST], wenn `data` nicht angegeben wurde; ansonsten optional [MAY]."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Link to the local location where the document is kept [MUST], when `data` not present; otherwise optional [MAY]." /> </extension> </extension> </definition> <comment value="Typisch: Lokal auflösbare URL"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Typically: Local resolvable URL" /> </extension> </extension> </comment> </element> <element id="DocumentReference.content.attachment.creation"> <path value="DocumentReference.content.attachment.creation" /> <short value="Datum der Erstellung des Dokumentes"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Date of the creation of the document" /> </extension> </extension> </short> <definition value="Datum der Erstellung des Dokumentes. Die Angabe ist dringend empfohlen [SHALL]."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Date of the creation of the document [SHALL]." /> </extension> </extension> </definition> <comment value="Bezogen auf letzte Änderung gemäß MII_EX_Dokument_NLP_Processing_Status"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Related to the last change regarding MII_EX_Dokument_NLP_Processing_Status" /> </extension> </extension> </comment> <mustSupport value="true" /> </element> <element id="DocumentReference.content.format"> <path value="DocumentReference.content.format" /> <short value="Komplexe Formatangabe"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Complex format specification" /> </extension> </extension> </short> <definition value="Formatangabe, die über den MIME-Typ hinausgehen"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="More complex format specification than the MIME type" /> </extension> </extension> </definition> <comment value="Beinhaltet ValueSets von IHE Deutschland und International"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Contains ValueSets of IHE Germany and International" /> </extension> </extension> </comment> <mustSupport value="true" /> <binding> <strength value="preferred" /> <valueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-dokument/ValueSet/mii-vs-dokument-format-code" /> </binding> </element> <element id="DocumentReference.content:Binaerdaten"> <path value="DocumentReference.content" /> <sliceName value="Binaerdaten" /> <min value="0" /> <max value="*" /> <mustSupport value="true" /> </element> <element id="DocumentReference.content:Binaerdaten.attachment"> <path value="DocumentReference.content.attachment" /> <mustSupport value="true" /> </element> <element id="DocumentReference.content:Binaerdaten.attachment.contentType"> <path value="DocumentReference.content.attachment.contentType" /> <mustSupport value="true" /> </element> <element id="DocumentReference.content:Binaerdaten.attachment.language"> <path value="DocumentReference.content.attachment.language" /> <mustSupport value="true" /> </element> <element id="DocumentReference.content:Binaerdaten.attachment.data"> <path value="DocumentReference.content.attachment.data" /> <min value="1" /> </element> <element id="DocumentReference.content:Binaerdaten.attachment.url"> <path value="DocumentReference.content.attachment.url" /> <max value="0" /> </element> <element id="DocumentReference.content:Binaerdaten.attachment.creation"> <path value="DocumentReference.content.attachment.creation" /> <mustSupport value="true" /> </element> <element id="DocumentReference.content:Binaerdaten.format"> <path value="DocumentReference.content.format" /> <mustSupport value="true" /> </element> <element id="DocumentReference.content:Verweis"> <path value="DocumentReference.content" /> <sliceName value="Verweis" /> <min value="0" /> <max value="*" /> <mustSupport value="true" /> </element> <element id="DocumentReference.content:Verweis.attachment"> <path value="DocumentReference.content.attachment" /> <mustSupport value="true" /> </element> <element id="DocumentReference.content:Verweis.attachment.contentType"> <path value="DocumentReference.content.attachment.contentType" /> <mustSupport value="true" /> </element> <element id="DocumentReference.content:Verweis.attachment.language"> <path value="DocumentReference.content.attachment.language" /> <mustSupport value="true" /> </element> <element id="DocumentReference.content:Verweis.attachment.data"> <path value="DocumentReference.content.attachment.data" /> <max value="0" /> </element> <element id="DocumentReference.content:Verweis.attachment.url"> <path value="DocumentReference.content.attachment.url" /> <min value="1" /> </element> <element id="DocumentReference.content:Verweis.attachment.creation"> <path value="DocumentReference.content.attachment.creation" /> <mustSupport value="true" /> </element> <element id="DocumentReference.content:Verweis.format"> <path value="DocumentReference.content.format" /> <mustSupport value="true" /> </element> <element id="DocumentReference.context"> <path value="DocumentReference.context" /> <short value="Erzeugungskontext des Dokumentes"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Document creation context" /> </extension> </extension> </short> <definition value="Klinischer Kontext, in welchem das Dokument erzeugt wurde"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Clinical context in which the document was created" /> </extension> </extension> </definition> <mustSupport value="true" /> </element> <element id="DocumentReference.context.encounter"> <path value="DocumentReference.context.encounter" /> <short value="Referenz zum FALL"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Reference to FALL" /> </extension> </extension> </short> <definition value="Referenz zur semantisch geeignetsten Ebene des Moduls FALL. Die Angabe ist dringend empfohlen [SHALL]."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Reference to the semantically most suitable level of the module FALL [SHALL]." /> </extension> </extension> </definition> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter" /> <targetProfile value="https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung" /> </type> <mustSupport value="true" /> </element> <element id="DocumentReference.context.event"> <path value="DocumentReference.context.event" /> <short value="Handlungen oder Prozeduren"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Acts or procedures" /> </extension> </extension> </short> <definition value="Handlungen oder Prozeduren, die im Kontext dokumentiert wurden. Die Angabe ist optional [MAY]."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Acts or procedures that were documented in context [MAY]." /> </extension> </extension> </definition> <mustSupport value="true" /> <binding> <strength value="required" /> <valueSet value="http://ihe-d.de/ValueSets/IHEXDSeventCodeList" /> </binding> </element> <element id="DocumentReference.context.event.coding"> <path value="DocumentReference.context.event.coding" /> <min value="1" /> </element> <element id="DocumentReference.context.event.coding.system"> <path value="DocumentReference.context.event.coding.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="DocumentReference.context.event.coding.code"> <path value="DocumentReference.context.event.coding.code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="DocumentReference.context.period"> <path value="DocumentReference.context.period" /> <short value="Durchführungszeitraum"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Performance period" /> </extension> </extension> </short> <definition value="Zeitraum, in dem die in dem Dokument beschriebene Handlung oder Prozedur durchgeführt wurde. Die Angabe ist optional [MAY]."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Period during which the act or procedure described in the document was performed [MAY]." /> </extension> </extension> </definition> <mustSupport value="true" /> </element> <element id="DocumentReference.context.facilityType"> <path value="DocumentReference.context.facilityType" /> <short value="Art der Einrichtung"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Type of facility" /> </extension> </extension> </short> <definition value="Art der Einrichtung, in der die Handlung oder Prozedur am Patienten erfolgte. Die Angabe ist optional [MAY]."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Type of facility where the act or procedure was performed on the patient [MAY]." /> </extension> </extension> </definition> <comment value="Typisch: `KHS` für Krankenhaus"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Typically: `KHS` for hospital" /> </extension> </extension> </comment> <mustSupport value="true" /> <binding> <strength value="required" /> <valueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-dokument/ValueSet/mii-vs-dokument-einrichtungsart" /> </binding> </element> <element id="DocumentReference.context.facilityType.coding"> <path value="DocumentReference.context.facilityType.coding" /> <min value="1" /> </element> <element id="DocumentReference.context.facilityType.coding.system"> <path value="DocumentReference.context.facilityType.coding.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="DocumentReference.context.facilityType.coding.code"> <path value="DocumentReference.context.facilityType.coding.code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="DocumentReference.context.practiceSetting"> <path value="DocumentReference.context.practiceSetting" /> <short value="Klinisches Fachgebiet"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Clinical specialty" /> </extension> </extension> </short> <definition value="Klinisches Fachgebiet, in dem Dokumenteninhalt erstellt wurde. Die Angabe ist optional [MAY]."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="Clinical specialty in which document content was created [MAY]." /> </extension> </extension> </definition> <comment value="CAVE: Diese Angabe entspricht nicht dem `serviceType` im Modul FALL"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="en" /> </extension> <extension url="content"> <valueString value="CAVE: This specification does not correspond to the `serviceType` in the FALL module" /> </extension> </extension> </comment> <mustSupport value="true" /> <binding> <strength value="required" /> <valueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-dokument/ValueSet/mii-vs-dokument-fachgebiet" /> </binding> </element> <element id="DocumentReference.context.practiceSetting.coding"> <path value="DocumentReference.context.practiceSetting.coding" /> <min value="1" /> </element> <element id="DocumentReference.context.practiceSetting.coding.system"> <path value="DocumentReference.context.practiceSetting.coding.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="DocumentReference.context.practiceSetting.coding.code"> <path value="DocumentReference.context.practiceSetting.coding.code" /> <min value="1" /> <mustSupport value="true" /> </element> </differential> </StructureDefinition>